Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.86 / $2,070.00 / $7,197.00	Facility		$107.86	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $91.57 / $138.91	Professional		$27.55	$91.57	$138.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $96.44 / $100.08 / $139.16	Professional		$96.44	$100.08	$139.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $95.53 / $186.05	Professional		$33.08	$95.53	$186.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $157.61 / $163.63	Professional		$118.81	$157.61	$163.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $804.63 / $1,188.84	Facility		$0.50	$804.63	$1,188.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,326.00 / $7,799.00	Facility		$490.00	$2,326.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $92.55 / $190.89	Professional		$28.66	$92.55	$190.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $51.20 / $277.00	Professional		$5.00	$51.20	$277.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $97.29 / $191.69	Professional		$33.08	$97.29	$191.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $95.20 / $144.28	Facility		$27.86	$95.20	$144.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $93.54 / $103.88	Professional		$27.71	$93.54	$103.88
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.74 / $121.95 / $193.71	Professional		$82.74	$121.95	$193.71